Modifies the Indirect Medical Education factor for certain freestanding children's hospitals, eliminates rebasing of DSH payments in 2014 and freezes DSH payments at 2013 levels, and changes the nursing facility capital occupancy requirement from 90% to 88%.

Physician Primary Care Rate Increase and Revised Vaccine Administration Fee Crosswalk.

Medicaid Reimbursement for Outpatient Hospital Services - Psychiatric Hospitals.

Outpatient Hospital Rates and Methodologies.

Conversion to from 209(b) to 1634 status, adoption of optional ABD category to 100% FPL, and implementation of income disregards for the Medicare Savings Program to increase QMB to 150% FPL, SLMB to 170% FPL, and QI to 185% FPL.

1915(i) State Plan Home and Community-Based Services (HCBS), Behavioral and Primary Healthcare Coordination Services; and IN.02.001 - Amendment to 1915(b)(4) waiver, Adult Mental Health Habilitation and Behavioral and Primary Healthcare Coordination Services

This SPA describes the methodology used by the state for determining the appropriate FMAP rates, including the increased FMAP rates, available under the provisions of the Affordable Care Act applicable for the medical assistance expenditures under the Medicaid program associated with enrollees in the new adult group adopted by the state and described in 42 CFR 435.119.

Updates Income Level for Inflation in PDF S52 for Optional Reasonable Classifications Under the Age of 21.

Affirms Residency Regulations and Addresses Interstate Agreements and Temporary Absence in Accordance with the Affordable Care Act.

This SPA amends the areas of the state that targeted case management (TCM) is provided effective January 1, 2104, to all counties except Polk, Warren, Dubuque, Linn, and Woodbury. Effective October 1, 2014.